J Reconstr Microsurg 1999; 15(1): 23-28
DOI: 10.1055/s-2007-1000067
ORIGINAL ARTICLE

© 1999 by Thieme Medical Publishers, Inc.

Use of a Reversed‐Flow Vascularized Pedicle Fibular Graft for Treatment of Nonunion of the Tibia

Yasser Safoury
  • Microsurgery Unit, Cairo University, Cairo, Egypt
Further Information

Publication History

Accepted for Publication 1998

Publication Date:
08 March 2008 (online)

ABSTRACT

Ten patients with nonunion of the lower tibia were treated with a vascularized ipsilateral fibular graft, that was transferred distally and based on retrograde peroneal vessel flow. Eight patients were treated for congenital pseudarthrosis of the tibia; one had a nonunion subsequent to infection, and another patient had bone and skin loss due to infection. A posterior approach was used to expose the tibia and to harvest the fibula. Bone union and full weight-bearing were achieved in all cases by 9 months. The patients were followed-up for a mean of 1.8 years (range: 1.5 to 3 years).